Cost Reduction With Successful Implementation of an Antibiotic Prophylaxis Program in a Private Hospital in Ribeirão Preto, Brazil

• Published in: Infection control and hospital epidemiology 1999-01, Vol.20 (1), p.77-79
• Main Authors: Fonseca, Silvia N. Szente, Kunzle, Sônia R. Melon, Silva, Sheila A. Barbosa, Schmidt, Jorge G., Mele, Roberto R.
• Format: Article
• Language: English
• Subjects: Adult; Antibacterial agents; Antibiotic prophylaxis; Antibiotic Prophylaxis - economics; Antibiotics; Antibiotics. Antiinfectious agents. Antiparasitic agents; Antimicrobials; Biological and medical sciences; Brazil; Cost Control; Developing Countries; Dosage; Guidelines as Topic; Hospital Costs; Hospitals, Private - economics; Humans; Infections; LDCs; Medical sciences; Nursing; Orthopedic procedures; Pharmacology. Drug treatments; Postoperative Complications - economics; Postoperative Complications - prevention & control; Prophylaxis; Surgeons; Surgical procedures; Surgical Procedures, Operative - adverse effects; The International Perspective; Tropical medicine; Unnecessary procedures
• ISSN: 0899-823X; 1559-6834
• DOI: 10.1086/501543

To describe the implementation and results of a perioperative antibiotic prophylaxis (PAP) program. A protocol for correct use of PAP was implemented in December 1994. For selected months we measured the PAP protocol compliance of a random sample of clean and clean-contaminated procedures and calculated the cost of incorrect use of PAP. SELLING: A 180-bed general hospital in Ribeirão Preto, Brazil. The cost of unnecessary PAP in the obstetric and gynecologic, cardiothoracic, and orthopedic services dropped from $4,224.54 ($23.47/procedure) in November 1994 to $1,147.24 ($6.17/procedure, January 1995), $544.42 ($3.58/procedure, May 1995), $99.06 ($0.50/procedure, August 1995), and $30 ($0.12/procedure, March 1996). In November 1994, only 13.6% of all surgical procedures were done with correct use of PAP, compared to 59% in January 1995, 73% in August 1995, 78% in March 1996, 92% in November 1996, and 98% in May 1997. Incorrect PAP use wastes resources, which is a particular problem in developing countries. Our program is simple and can be implemented without the use of computers and now is being adopted in other hospitals in our region. We credit the success of our program to the commitment of all participants and to the strong support of the hospital directors.